Standard&Poor's Ratings Services confirmed its 'AAA/A-1' long-term rating on Ohio Higher Education Facility Commission (University Hospitals Health System Inc.) series 2008B hospital variable-rate demand obligation revenue bonds, due to the bank facility being extended to Jan. 15, 2015. The long-term and short-term components of the rating are based on the rating on the letter of credit provider, RBS Citizens N.A. Criteria: Methodology And Assumptions: Approach To Evaluating Letter Of Credit-Supported Debt, July 6, 2009